US6019737A - Guide wire - Google Patents

Guide wire Download PDF

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Publication number
US6019737A
US6019737A US09/050,891 US5089198A US6019737A US 6019737 A US6019737 A US 6019737A US 5089198 A US5089198 A US 5089198A US 6019737 A US6019737 A US 6019737A
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Prior art keywords
guide wire
core member
artifact
mri
alloy
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US09/050,891
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English (en)
Inventor
Yukihiko Murata
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Terumo Corp
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Terumo Corp
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Priority claimed from JP09650397A external-priority patent/JP3607456B2/ja
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A61M2025/09058—Basic structures of guide wires
    • A61M2025/09083—Basic structures of guide wires having a coil around a core
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A61M2025/09133—Guide wires having specific material compositions or coatings; Materials with specific mechanical behaviours, e.g. stiffness, strength to transmit torque
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0108—Steering means as part of the catheter or advancing means; Markers for positioning using radio-opaque or ultrasound markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0127—Magnetic means; Magnetic markers

Definitions

  • the present invention relates to a guide wire, for example, used for introducing various kinds of catheters.
  • a front end portion of the catheter is introduced by inserting the guide wire into a lumen of the catheter and operating this, so that a selection of branching a blood vessel can be smoothly and securely performed.
  • a guide wire which is constituted by a stainless steel or a superelastic alloy (Ni--Ti alloy).
  • an X-ray contrast characteristic is applied to the catheter.
  • an examination and a diagnosis are performed in accordance with a magnetic resonance imaging method (MRI). Due to a progress of the technology, it is also possible to insert the catheter and a guide wire into a body of a person to be examined while monitoring an image by MRI, thereby performing a medical activity such as an examination and a diagnosis.
  • MRI magnetic resonance imaging method
  • the conventional guide wire constituted by a stainless steel is magnetized due to a material characteristic thereof and a work hardening generated during a wiring process. Therefore, the guide wire is placed in a strong magnetic field of the MRI, a large artifact (an image not existing) appears on an MRI monitor image due to an excess reaction, and the guide wire is recognized as ten times greater in diameter than an actual thickness. As a result, a position of the front end portion of the guide wire within the organism can not be accurately recognized, which might cause incorrect medical activities as mentioned above.
  • the guide wire heated by a strong magnetizing effect of the MRI may also cause incorrect medical activities as mentioned above or giving a bad influence to the organism.
  • the artifact generated on the MRI monitor image appears in a smaller diameter than the actual size of the guide wire, so that it is hard to recognize a position of the front end portion of the guide wire in the organism.
  • An object of the present invention is to provide a guide wire which can be appropriately recognized on an MRI monitor image.
  • a guide wire comprising a contrast portion that generates an artifact one to eight times an actual outer diameter on an MRI image photographed by a gradient echo method.
  • a guide wire in which the contrast portion is made of an alloy containing a nickel of 40 wt % or more and an iron of 7 wt % or less.
  • a guide wire in which the alloy contains a nickel of 45 wt % or more, an iron of 2 to 7, preferably 3 to 6 wt %, a chrome of 10 to 25 wt % and a molybdenum of 10 to 20 wt %.
  • a guide wire comprising a core member and a coil disposed at least in an outer periphery of a front end portion of the core member, in which at least a part of the coil or the core member in a longitudinal direction of the guide wire constitutes the contrast portion.
  • a guide wire in which a plurality of ring members are used in place of the coil is used in place of the coil.
  • a guide wire comprising a coat layer for coating at least a part of the contrast material.
  • a guide wire in which a thin film made of a ferromagnetic body is provided at least in a front end portion of a core member constituted by a feeble(low) magnetic body or a non-magnetic body.
  • a guide wire comprising a coat layer for coating at least a part of the thin film.
  • a guide wire in which the coat layer is constituted by an organic polymeric material is constituted by an organic polymeric material.
  • a guide wire comprising a core member and a contrast portion for magnetic resonance imaging method wherein said contrast portion comprising an alloy containing a nickel of 40 wt % or more and an iron of 7 wt % or less at least a distal portion of the guide wire.
  • FIG. 1 is a vertical cross sectional view which shows an embodiment of a guide wire in accordance with the present invention
  • FIG. 2 is a vertical cross sectional view which shows another embodiment of a guide wire in accordance with the present invention
  • FIG. 3 is a vertical cross sectional view which shows the other embodiment of a guide wire in accordance with the present invention.
  • FIG. 4 is a vertical cross sectional view which shows further the other embodiment of a guide wire in accordance with the present invention.
  • FIG. 5 is a vertical cross sectional view which shows further the other embodiment of a guide wire in accordance with the present invention.
  • FIG. 6 is a graph which shows an MH magnetization curve
  • FIG. 7 is a schematic view which shows an outer appearance of a guide wire and a shape of an artifact of a guide wire on an MRI image in accordance with the present invention
  • FIG. 8 is a schematic view which shows an outer appearance of a guide wire and a shape of an artifact of a guide wire on an MRI image in accordance with the present invention
  • FIG. 9 is a schematic view which shows an outer appearance of a guide wire and a shape of an artifact of a guide wire on an MRI image in accordance with a comparative example
  • FIG. 10 is a schematic view which shows an outer appearance of a guide wire and a shape of an artifact of a guide wire on an MRI image in accordance with a comparative example
  • FIG. 11 is a stereoscopic view which shows an embodiment of a guide wire in accordance with the present invention.
  • FIG. 12 is a vertical cross sectional view which shows another embodiment of a guide wire in accordance with the present invention.
  • FIG. 13 is a vertical cross sectional view which shows a front end portion of the other embodiment of a guide wire in accordance with the present invention in an enlarged scale;
  • FIG. 14 is a schematic view which shows an outer appearance of a guide wire and a shape of an artifact of a guide wire on an MRI image in accordance with the present invention
  • FIG. 15 is a schematic view which shows an outer appearance of a guide wire and a shape of an artifact of a guide wire on an MRI image in accordance with the present invention
  • FIG. 16 is a schematic view which shows an outer appearance of a guide wire and a shape of an artifact of a guide wire on an MRI image in accordance with a comparative example.
  • FIG. 17 is a schematic view which shows an outer appearance of a guide wire and a shape of an artifact of a guide wire on an MRI image in accordance with a comparative example.
  • a guide wire of the present invention can be used for performing a medical activity such as an examination, a diagnosis and a treatment under the operation of a magnetic resonance imaging (MRI).
  • MRI magnetic resonance imaging
  • the guide wire of the invention has a contrast portion which generates an artifact 1 to 8 times an outer diameter of an actual guide wire on the MRI image photographed by a gradient echo method, more preferably an artifact 1.5 to 7.5 times the outer diameter of the actual guide wire, and further preferably an artifact 2 to 7 times the outer diameter of the actual guide wire.
  • an artifact is too large, it is hard to recognize the position of the guide wire within a body cavity, and when the artifact is too small, there is a case that it is hard to see the artifact on the MRI image by a spin echo method which corresponds to another photographing method of the MRI.
  • the contrast portion is present at least in a front end portion of the guide wire.
  • a concrete structure of the guide wire of the present invention is not particularly limited as far as the guide wire has the contrast portion including the characteristic mentioned above, and there is a case that the guide wire is basically formed by a rod member and there is a case that the guide wire is constituted by winding a coil around a part or all of the rod member.
  • An embodiment of a preferred structure will be described below with reference to FIGS. 1 to 17. In this case, the description is given while considering a right portion in FIGS. 1 to 17 as “a basic end” and a left portion as "a front end”. At a time of inserting the guide wire into the body, "the basic end” corresponds to an end to be inserted in the front end, and on the contrary, "the front end” corresponds to a front end inserted into the body.
  • FIG. 1 is a vertical cross sectional view which shows an embodiment of the guide wire in accordance with the present invention.
  • a guide wire 1A in accordance with the invention is constituted by a core member 2A and a coil 3A wound around an outer periphery all along the length of the core member 2A.
  • the guide wire 1A has a flexibility as a whole, and has a suitable rigidity and elasticity in such a manner as to sufficiently effect a function as the guide wire.
  • stopper members 4 and 5 are provided in both ends of the core member 2A in such a manner that the coil 3A would not move longitudinally with respect to the core member 2A.
  • the core member 2A and the coil 3A may be in contact with each other, in close contact with each other, or in apart from each other with a predetermined gap, however, in view of improving a flexibility (an elasticity) of the guide wire 1A, the latter is preferable.
  • a cross sectional shape of a wire material constituting the coil 3A is a circular shape, however, the shape is not limited to this, and any other shapes may be employed, for example, an oval shape, a semi-circular shape, a semi-oval shape, a triangular shape, a polygonal shape such as a rectangular shape and a flat shape (a planner shape).
  • the coil 3A may be wound in two or more layers.
  • the core member 2A may be formed as a multi-layered structure, a hollow structure and a structure formed by binding a plurality of core members, as is different from the illustrated embodiment.
  • the core member 2A and the coil 3A, or a part thereof forms a contrast portion and is constituted in such a manner as to generate an artifact 1 to 8 times an actual outer diameter on the MRI image photographed by the gradient echo method.
  • the contrast portion is formed by an alloy containing a nickel of 40 wt % or more and an iron of 7 wt % or less. More preferably, it is formed by an alloy further containing a chrome and molybdenum.
  • the alloy may contain a nickel of 45 wt % or more, an iron of 3 to 6 wt %, a chrome of 10 to 25 wt % and a molybdenum of 10 to 20 wt %, and may further contain a tungsten if necessary.
  • the core member 2A and the coil 3A is constituted by a metal material having a magnetic susceptibility of preferably 0.5 ⁇ 10 -4 to 5.0 ⁇ 10 -4 , and more preferably 1.0 ⁇ 10 -4 to 3.0 ⁇ 10 -4 in an outer diametrical direction at a temperature close to a room temperature (about 10 to 40° C.)
  • the artifact having the range mentioned above can be generated. Accordingly, in the guide wire 1A of this embodiment, a portion extending all around the length constitutes the contrast portion.
  • the magnetic susceptibility is defined as follows.
  • a magnetic susceptibility is an inclination of a straight line formed by connecting a point A having coordinates of a coercive force Hc (per unit volume [cm 3 ]) and a residual magnetization Mr with the origin 0.
  • the magnetic susceptibility X is expressed by the following formula:
  • a non-magnetic material (a non-magnetic body) and a feeble magnetic body (any of the metal material and the resin material can be employed) may be applied, in the case that either of the core member 2A or the coil 3A is not constituted by the specific alloy mentioned above or by the low magnetic susceptibility metal material.
  • An outer diameter of the guide wire 1A of this kind is not specifically limited, however, it is normally preferable to set an average outer diameter to be about 0.25 to 1.57 mm, and it is further preferable to set to about 0.4 to 0.97 mm.
  • the front end portion of the core member 2A in a taper shape an outer diameter of which is gradually reduced toward the front end direction, it may be structured that a rigidity (a bending rigidity and a torsion rigidity) in the front end portion 10A of the guide wire 1A is gradually reduced toward the front end direction.
  • a rigidity a bending rigidity and a torsion rigidity
  • the flexibility of the front end portion 10A can be improved and a higher safety can be secured while sufficiently maintaining a torque transmission performance, a inserting performance (a pushability) and an anti-kink performance (an anti-bending performance) of the guide wire 1A.
  • FIG. 2 is a vertical cross sectional view which shows another embodiment of the guide wire in accordance with the present invention.
  • a guide wire 1B shown in FIG. 2 will be described below in view of points different from the guide wire 1A, and the description with respect to the same matters will be omitted.
  • the guide wire 1B has a core member 2B having the same structure as that mentioned above, and a coil 3B having the same structure as that mentioned above is disposed only in a front end portion 10B of the guide wire 1B.
  • At least either of the core member 2B and the coil 3B is structured by the alloy constituted by the specific component mentioned above or the low magnetic susceptibility metal material, as in the same manner as that mentioned above.
  • the core member 2B is constituted by the specific alloy or the low magnetic susceptibility metal material
  • almost all the portion around the length thereof constitutes the contrast portion
  • the guide wire 1B in which only the coil 3B is constituted by the specific alloy or the low magnetic susceptibility metal material only the front end portion 10B constitutes the contrast portion.
  • a coat layer 6B is coated and formed.
  • a suitable flexibility and strength can be obtained by forming the coat layer 6B, and further, an effect of making it possible to provide a coating layer made of a surface lubricant polymer can be obtained.
  • the coat layer 6B is preferably constituted by an organic polymeric material.
  • an organic polymeric material constituting the coat layer 6B for example, there can be employed a polyolefin such as a polyethylene, a polypropylene and an ethylene-vinyl acetate copolymer, a polyester such as a polyethylene terephtalate and polybutylene terephtalate, various kinds of thermoplastic elastomer such as a polyvinyl chloride, polyvinylidene chloride, polystyrene, polyamide (for example, a nylon 6, a nylon 66, a nylon 11 and a nylon 12), a polyimide, a polyamide imide, a polycarbonate, a poly-(4-methyl pentene-1), an ionomer, an acrylic resin, a polymethyl methacrylate, an acrylonitrile-butadiene-styrene copolymer (ABS resin), an acrylonitrile-sty
  • an X-ray impermeable material such as a barium sulfate, a bismuth oxide and a tungsten may be combined in the coated layer 6B as occasion demands in such a manner as to recognize the position even in the case of using the guide wire 1B under the X-ray illumination.
  • the coated layer 6B gives effects of protecting the core member 2B and a thin film 13B mentioned below, improving a slidability of the guide wire, and making it possible to form a coating layer of a surface lubricant polymer.
  • a thickness of the coated layer 6B is not particularly limited, however, it is generally preferable to set to be about 0.05 to 0.3 mm, and about 0.1 to 0.2 mm is more preferable.
  • a thickness of the coated layer 6B is either even all around the coated layer 6B or different in accordance with a portion thereof. For example, a portion a thickness of which is gradually reduced or increased toward the front end direction may be included.
  • the coated layer 6B may be formed in such a manner as to coat an area of the front end portion 10B, that is, an outer periphery of the coil 3B. Further, the coated layer 6B may be formed only in the area of the front end portion 10B.
  • a plurality of ring-like members (not shown) can be employed in place of the coils 3A and 3B.
  • a material and a characteristic of the ring-like member may be set to be the same as those mentioned in the coils 3A and 3B.
  • FIG. 3 is a vertical sectional view which shows the other embodiment of the guide wire in accordance with the invention.
  • a guide wire 1C shown in FIG. 3 will be described below in view of points different from the guide wire 1B, and the description with respect to the same matters will be omitted.
  • the guide wire 1C has a core member 2C, and a coated layer 6C having the same structure as that mentioned above is formed in an outer periphery all around the length thereof.
  • the core member 2C is constituted by an alloy containing a nickel of 40 wt % or more and an iron of 7 wt % or less. More preferably, it is constituted by an alloy further containing a chrome and a molybdenum. Particularly, the alloy may contain a nickel of 45 wt % or more, an iron of 3 to 6 wt %, a chrome of 10 to 25 wt % and a molybdenum of 10 to 20 wt %, and may further contain a tungsten as occasion demands.
  • the core member 2C is constituted by a metal material having a magnetic susceptibility at a temperature close to a room temperature (about 10 to 40° C.) and in the outer diametrical direction preferably of 0.5 ⁇ 10 -4 to 5.0 ⁇ 10 -4 , more preferably of 0.5 ⁇ 10 -4 to 3.0 ⁇ 10 -4 , and further preferably of 1.0 ⁇ 10 -4 to 2.8 ⁇ 10 -4 .
  • the artifact having the range mentioned above can be generated. Accordingly, in the guide wire 1C in accordance with this embodiment, the portion extending all around the length constitutes the contrast portion.
  • the front end portion of the core member 2C is formed in a taper shape in which the outer diameter thereof is gradually reduced toward the front end direction. Accordingly, it can be structured such that a rigidity (a bending rigidity and a torsion rigidity) of the front end portion 10C of the guide wire 1C is gradually reduced toward the front end direction, thereby improving a flexibility of the front end portion 10C and securing higher safety while maintaining a torque transmitting performance, a pressing performance (a pushability) and an anti-kink performance (an anti-bending performance) of the guide wire 1C.
  • a rigidity a bending rigidity and a torsion rigidity
  • FIG. 4 is a vertical sectional view which shows the other embodiment of the guide wire in accordance with the invention.
  • a guide wire 1D shown in FIG. 4 will be described below in view of points different from the guide wire 1C, and the description with respect to the same matters will be omitted.
  • the guide wire 1D has the same structure as that of the guide wire 1C except that a core member structured by bonding a first core member 22a close to the front end and a second core member 22b close to the base end, for example, by welding, brazing or caulking is employed.
  • a component of the first core member 22a is different from a component of the second core member 22b, and at least the first core member 22a is constituted by the specific alloy or the low magnetic susceptibility metal material. Accordingly, in the guide wire 1D in accordance with this embodiment, the portion close to the front end portion 10D constitutes the contrast portion.
  • each of the first core member 22a and the second core member 22b may be constituted by the alloy composed of the specific components mentioned above or the low magnetic susceptibility metal material.
  • the first core member 22a and the second core member 22b may be bonded by using a metal pipe.
  • the materials constituted the pipe member and the first core member may be the same.
  • FIG. 5 is a vertical sectional view which shows the other embodiment of the guide wire in accordance with the present invention.
  • a guide wire 1E shown in FIG. 5 will be described below in view of points different from the guide wire 1D, and the description with respect to the same matters will be omitted.
  • Super elastic alloy Ni--Ti alloy which is thought to have the best property as a guide wire is used for the material constituted the core member 23 of the guide wire 1E, and its front end portion is tapered to thinner diameter in the same manner as the guide wire 1C already mentioned.
  • Ni--Ti alloy generated on the MRI monitor image appears smaller than it's actual size, so the thinned front end is especially hard to be recognized.
  • the MRI marker 24 being positioned in the front end portion of the core member 23 is constituted by an alloy containing a nickel of 40 wt % or more and an iron of 7 wt % or less. More preferably, it is constituted by an alloy further containing a chrome and a molybdenum. Particularly, the alloy may contain a nickel of 45 wt % or more, an iron of 3 to 6 wt %, a chrome of 10 to 25 wt % and a molybdenum of 10 to 20 wt %, and may further contain a tungsten as occasion demands.
  • the MRI marker 24 is constituted by a metal material having a magnetic susceptibility at a temperature close to a room temperature (about 10 to 40° C.) and in the outer diametrical direction preferably of 0.5 ⁇ 10 -4 to 5.0 ⁇ 10 -4 , more preferably of 0.5 ⁇ 10 -4 to 3.0 ⁇ 10 -4 , and further preferably of 1.0 ⁇ 10 -4 to 2.8 ⁇ 10 -4 .
  • the MRI marker 24 is constituted by bonding or caulking thin plate processed from above mentioned specific material to the front end portion of the core member 23.
  • the place of the MRI marker constitutes the above mentioned contrast portion of the guide wire 1E in this embodiment.
  • Guide wire 1E may also have the same coated layer 6E on entire or a portion of the surface as mentioned in the guide wire 1C or 1D.
  • the MRI marker 24 has a thickness of 20 to 200 ⁇ m, more preferably of 50 to 100 ⁇ m, and the width of the marker 24 in the axial direction on the guide wire is preferably 0.2 to 10 mm, more preferably of 0.5 to 5 mm.
  • a guide wire 20A in accordance with the invention as shown in FIG. 11 is used for performing a medical activity such as a examination, a diagnosis and a treatment under an operation of a magnetic resonance imaging apparatus (MRI apparatus).
  • MRI apparatus magnetic resonance imaging apparatus
  • the guide wire 20A is provided with a core member 12A having an elasticity.
  • the core member 12A is constituted by a core member comprising a solid wire material.
  • the core member 12A corresponds to a portion carrying a rigidity of the guide wire 20A, and has an appropriate rigidity and elasticity.
  • the core member 12A restricts an increase of the artifact on the MRI image, and has a contrast portion making the artifact a range of 1 to 8 times an actual outer diameter further by disposing a thin film 13A mentioned below.
  • a material of the core member 12A is preferably a feeble magnetic body or a non-magnetic body.
  • a metal material such as a superelastic alloy (Ni--Ti alloy) and Ni--Cr--Mo alloy can be exemplified.
  • the metal material is structured such that the magnetic susceptibility at a temperature close to a room temperature (about 10 to 40° C.) in the outer diametrical direction is preferably 5.0 ⁇ 10 -4 or less, more preferably about 0.5 ⁇ 10 -4 to 4.0 ⁇ 10 -4 , and further preferably about 1.0 ⁇ 10 -4 to 3.5 ⁇ 10 -4 .
  • An artifact mentioned below can be effectively generated by using the metal material having the magnetic characteristic mentioned above (the low magnetic susceptibility metal material) to all or a part of the core member 12A.
  • a diameter of the core member 12A is not specifically limited, however, it is generally preferable to set it to be about 0.25 to 1.57 mm, and more preferable to set to be about 0.40 to 0.97 mm.
  • the diameter of the core member 12A is substantially constant all around the length thereof, however, the structure is not limited to this, for example, it may be formed in a taper shape an outer diameter of which is gradually reduced toward the front end direction in the front end portion of the core member 12A.
  • a rigidity (a bending rigidity and a torsion rigidity) of the front end portion 15A of the guide wire 20A is gradually reduced toward the front end direction.
  • a flexibility of the front end portion 15A can be improved and a higher safety can be secured while sufficiently maintaining a torque transmitting performance, a pressing performance (a pushability) and an anti-kink characteristic (an anti-bending characteristic) of the guide wire 20.
  • the core member 12A may be constituted by a combination of two or more different materials.
  • the base end portion and the front end portion of the core member 12A are respectively constituted by a first material and a second material different from each other, and the rigidity of the first material may be set to be higher than the rigidity of the second material.
  • the first material and the second material can be bonded, for example, by welding, brazing or caulking.
  • the first material and the second material may be bonded by using a metal pipe.
  • the materials constituted the pipe member and the first or second material be the same.
  • the thin film 13A is formed in the front end portion of the core member 12A in such a manner as to coat the outer periphery thereof.
  • the thin film 13A is preferably constituted by a ferromagnetic body.
  • a transition metal such as an iron, a nickel and a cobalt or an alloy containing these components (for example, a stainless steel) can be exemplified.
  • An artifact mentioned below can be obtained on the MRI image by providing the thin film 13A made of the material.
  • the thin film 13A can be formed, for example, by various kinds of plating methods (a liquid phase film forming method) such as an electroplating, a hot dipping and an electroless plating, various kinds of vapor phase film forming methods such as a vacuum evaporation, a sputtering, an ion plating, a CVD and a PVD, and particularly it is preferable to be formed by the vapor phase film forming methods mentioned above.
  • plating methods a liquid phase film forming method
  • vapor phase film forming methods such as a vacuum evaporation, a sputtering, an ion plating, a CVD and a PVD
  • vapor phase film forming methods such as a vacuum evaporation, a sputtering, an ion plating, a CVD and a PVD
  • an orientation characteristic of an atomic arrangement is changed during a process of a film growth, so that even in the case of the ferromagnetic body, an appropriate artifact
  • the thickness of the thin film 13A is not particularly limited, however, it is generally preferable to set it to be 0.001 to 2.5 ⁇ m, and it is more preferable to set it to be 0.01 to 1.0 ⁇ m.
  • the thin film 13A in accordance with this embodiment is formed in such a manner as to coat all the periphery of an outer periphery of the front end portion of the core member 12A in a web-like manner, that is, in a ring shape.
  • a width W of the thin film 13A is not particularly limited, however, is preferably set to be about 0.2 to 10 mm in order to obtain a suitable artifact, and is more preferably set to be about 0.5 to 5 mm.
  • a pattern of forming the thin film 13A is not limited to the illustrated structure, however, various patterns such as a pattern formed along a longitudinal direction of the core member 12A in a linear and web-like manner, a pattern formed in a spiral manner or a pattern combining these patterns and the ring-like pattern mentioned above can be employed.
  • the thin film 13A is not limited to the structure having a single layer, however, may be constituted by a plurality of layers (a multi-layer thin film).
  • the guide wire 20A has a contrast portion generating an artifact of 1 to 8 times an outer diameter of the actual guide wire on the MRI image photographed by a gradient echo method, more preferably an artifact of 1.5 to 7.5 times and further preferably an artifact 2 to 7 times.
  • an artifact When the artifact is too large, it is hard to recognize a position of the guide wire within the body cavity, and when it is too small, there is a case that it is hard to see the artifact on the MRI image by the spin echo method corresponding to the other photographing method of the MRI.
  • the contrast portion becomes the front end portion 15A of the guide wire 20A, that is, a portion close to the portion in which the thin film 13A is formed.
  • the appropriate artifact of this kind can be suitably adjusted in accordance with various conditions such as a material constituting the core member 12A, a composition of the thin film 13A, a thickness and a width.
  • FIG. 12 is a vertical sectional view which shows the other embodiment of the guide wire in accordance with the invention.
  • a guide wire 20B shown in the drawing has a coated layer 16B, and the other structure is the same as that mentioned above. A description will be given below in view of the different points.
  • the coated layer 16B is coated and formed in an outer periphery extending substantially all around the length of the core member 12A.
  • the coated layer 16B is preferably constituted by an organic polymeric material.
  • a material constituting the coated layer 16B is the same as that of the coated layer mentioned above.
  • a thickness of the coated layer 16B is not particularly limited, however, a thickness (an average thickness) of about 0.05 to 0.3 mm is preferable and a thickness of about 0.1 to 0.2 mm is more preferable.
  • a thickness of the coated layer 16B may be either constant all around the coated layer 16 or different in correspondence to portions.
  • the coated layer 16B is not limited to a single layer as illustrated, however, may be a structure constituted by piling a plurality of layers.
  • the artifact mentioned above is generated in the front end portion (the contrast portion) 15B.
  • FIG. 13 is a vertical cross sectional view which shows a front end portion of the other embodiment of the guide wire in accordance with the invention in an enlarged manner.
  • a front end portion of the core member 12A is made a narrow diameter
  • the coated layer 16C is made thick in the front end portion 15C so as to make an outer diameter of the guide wire constant, so that there are differences in comparison with the guide wire 20B in view of a point that the front end portion 15C is softened and a pattern of forming the thin film 13C, and the other points than those are the same.
  • a description will be given below in view of the different points.
  • the guide wire 20C shown in FIG. 13 is structured such that a plurality of ring-like thin films 13C each having the same structure as that mentioned above are formed along a longitudinal direction of the guide wire 20C at a predetermined interval in an outer periphery of the front end narrow diameter portion 21 of the core member 12A.
  • a width W of the thin film 13C is preferably about 1 mm to 5 mm
  • a distance L of a gap between the adjacent thin films 13C is preferably about 1 mm to 5 mm.
  • the artifact mentioned above is generated in the front end portion (the contrast portion) 15C.
  • the core member is not limited to the solid wire material (the core material) as illustrated, however, may be a structure in which all or a part thereof is hollow. Further, the core member may be constituted by a structure binding a plurality of wire materials, a structure having a multi-layered pipe, a structure having a coil wound around the wire material (the core member), a coil itself, or an optional combination among them.
  • the guide wire shown in FIG. 1 is manufactured. Each of the conditions of the guide wire is as follows.
  • MATERIAL CONSTITUTING COIL SUPERELASTIC ALLOY (Ni--Ti ALLOY)
  • the guide wire having the same structure as that of the Example 1 except that the material constituting the core member is set to be the low magnetic susceptibility metal material M2 mentioned below (magnetic susceptibility: 1.63 ⁇ 10 -4 ) is manufactured.
  • the guide wire having the same structure as that of the Example 1 except that the material constituting the core member is set to be the superelastic alloy (Ni--Ti alloy) and the material constituting the coil is set to be the low magnetic susceptibility metal material M1 (magnetic susceptibility: 1.36 ⁇ 10 -4 ) is manufactured.
  • the material constituting the core member is set to be the superelastic alloy (Ni--Ti alloy) and the material constituting the coil is set to be the low magnetic susceptibility metal material M1 (magnetic susceptibility: 1.36 ⁇ 10 -4 ) is manufactured.
  • the guide wire having the same structure as that of the Example 1 except that the material constituting the core member is set to be the superelastic alloy (Ni--Ti alloy) and the material constituting the coil is set to be the low magnetic susceptibility metal material M2 (magnetic susceptibility: 1.63 ⁇ 10 -4 ) is manufactured.
  • the material constituting the core member is set to be the superelastic alloy (Ni--Ti alloy) and the material constituting the coil is set to be the low magnetic susceptibility metal material M2 (magnetic susceptibility: 1.63 ⁇ 10 -4 ) is manufactured.
  • the guide wire shown in FIG. 2 is manufactured. Each of the conditions of the guide wire is as follows.
  • MATERIAL CONSTITUTING COIL LOW MAGNETIC SUSCEPTIBILITY METAL MATERIAL M1
  • the guide wire having the same structure as that of the Example 5 except that the material constituting the coil is set to be the low magnetic susceptibility metal material M2 (magnetic susceptibility: 1.63 ⁇ 10 -4 ) is manufactured.
  • the guide wire having the same structure as that of the Example 5 except that the material constituting the core member is set to be the low magnetic susceptibility metal material M1 (magnetic susceptibility: 1.36 ⁇ 10 -4 ) is manufactured.
  • the guide wire having the same structure as that of the Example 5 except that the material constituting the core member is set to be the low magnetic susceptibility metal material M2 (magnetic susceptibility: 1.63 ⁇ 10 -4 ) and the material constituting the coil is set to be the low magnetic susceptibility metal material M2 (magnetic susceptibility: 1.63 ⁇ 10 -4 ) is manufactured.
  • the guide wire shown in FIG. 3 is manufactured. Each of the conditions of the guide wire is as follows.
  • the guide wire having the same structure shown in FIG. 4 is manufactured.
  • Each of the conditions of the guide wire is as follows.
  • the guide wire shown in FIG. 5 is manufactured. Each of the conditions of the guide wire is as follows.
  • DIAMETER OF MRI MARKER 2 mm width, 80 ⁇ m thickness
  • compositions of the low magnetic susceptibility metal materials M1 and M2 are as follows:
  • the guide wire having the same structure as that of the Example 9 except that the material constituting the core member is set to be a stainless steel (SUS304, magnetic susceptibility: 15.23 ⁇ 10 -4 ) is manufactured.
  • the guide wire having the same structure as that of the Example 9 except that the material constituting the core member is set to be a Ni-49 wt % Ti alloy is manufactured.
  • an MRI image thereof is monitored by using an MRI (manufactured by GE MEDICAL CO., LTD) and photographing by a gradient echo method.
  • a contour 7 of the actual guide wire (a dot line in FIG. 7) and an artifact 8 of the guide wire present on the MRI image (a solid line in FIG. 7) become shapes shown in FIG. 7 (schematically shown).
  • the contour 7 of the actual guide wire (a dot line in FIG. 10) and the artifact 8 of the guide wire present on the MRI image (a solid line in FIG. 10) become shapes shown in FIG. 10 (schematically shown). In this case, the artifact is very unclear and is hard to be recognized.
  • a magnification (an average value in each portion) of the artifact with respect to the actual outer diameter of the contrast portion in the guide wire is measured from the MRI image, so that the following results can be obtained.
  • the guide wire shown in FIG. 11 is manufactured. Each of the conditions of the guide wire is as follows.
  • WIRE MAIN BODY WIRE MATERIAL (CORE MEMBER) HAVING SOLID CIRCULAR CROSS SECTION
  • POSITION OF FORMING THIN FILM POSITION AT WHICH CENTER OF THIN FILM IN WIDTH DIRECTION IS 3 mm FROM FRONT END OF WIRE MAIN BODY
  • the guide wire having the same structure as that of the Example 12 except that the conditions for the thin film is changed as follows is manufactured.
  • POSITION OF FORMING THIN FILM POSITION AT WHICH CENTER OF THIN FILM IN WIDTH DIRECTION IS 3 mm FROM FRONT END OF WIRE MAIN BODY
  • the guide wire having the structure shown in FIG. 12 is manufactured by forming a coated layer in accordance with the following conditions on the guide wire having the same structure as that of the Example 12.
  • the guide wire having the structure shown in FIG. 12 is manufactured by forming the same coated layer as that of the Example 14 on the guide wire having the same structure as that of the Example 13.
  • the guide wire shown in FIG. 13 is manufactured. Each of the conditions of the guide wire is as follows.
  • WIRE MAIN BODY WIRE MATERIAL (CORE MEMBER) HAVING SOLID CIRCULAR CROSS SECTION
  • the guide wire having the same structure as that of the Example 12 except that the material constituting the wire main body is set to be a stainless steel (SUS304, magnetic susceptibility: 15.23 ⁇ 10 -4 ) and no thin film is provided is manufactured.
  • the guide wire having the same structure as that of the Example 16 except that no thin film is provided is manufactured.
  • an MRI image thereof is monitored by using an MRI (manufactured by GE MEDICAL CO., LTD) and photographing by a gradient echo method.
  • the contour 17 of the actual guide wire (a dot line in FIG. 15) and the artifact 18 of the guide wire present on the MRI image (a solid line in FIG. 15) become shapes shown in FIG. 15 (schematically shown).
  • the contour 17 of the actual guide wire (a dot line in FIG. 17) and the artifact 18 of the guide wire present on the MRI image (a solid line in FIG. 17) become shapes shown in FIG. 17 (schematically shown).
  • the artifact is very unclear particularly in the front end thereof and is hard to be recognized.
  • a magnification (an average value in each portion) of the artifact with respect to the actual outer diameter of the contrast portion in the guide wire is measured from the MRI image, so that the following results can be obtained.
  • the image is monitored under the X-ray illumination in accordance with a fixed method, so that in any of the guide wires, the total shape thereof or the position of the front end portion can be accurately understood in the monitor image of the MRI.
  • the position and the shape of the guide wire can be appropriately recognized by the monitor image by means of the MRI.
  • the medical activity such as the examination, the diagnosis and the treatment with using the guide wire of the invention under monitoring by the MRI, the medical activity can be smoothly and suitably performed.
  • a magnitude of the artifact with respect to the actual outer diameter of the guide wire and a portion in which the artifact is generated can be suitably adjusted by setting the conditions such as the composition of the thin film, the size, the formed position and the formed pattern, so that a desired characteristic can be easily obtained.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)
US09/050,891 1997-03-31 1998-03-31 Guide wire Expired - Lifetime US6019737A (en)

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JP9650297 1997-03-31
JP09650397A JP3607456B2 (ja) 1997-03-31 1997-03-31 ガイドワイヤ
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EP0868925A3 (de) 1999-06-02
EP0868925B1 (de) 2008-04-30
EP0868925A2 (de) 1998-10-07
DE69839412T2 (de) 2009-05-07

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